Active NPI
Isabella Guajardo Sant, MD
- Surgery Physician
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-18123
- Practice address
- 901 Burnett Dr
Mountain Home, AR 72653-2908 - Phone
- (912) 087-0421
- NPI assigned
- Apr 16, 2019
- Last updated
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | A180845 | CA | |
| Surgery Physician | 208600000X | E-18123 | AR | Primary |
Addresses
Primary practice location
901 Burnett Dr
Mountain Home, AR 72653-2908
Mailing address
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
673 N Main St
Suite D
Salem, AR 72578-9451
Phone (870) 425-9120
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 251 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-18123 | AR | MD | Surgery Physician |
| A180845 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Surgical Group | Surgery | Current | Accepting new patients |
Locations
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
901 Burnett Dr
Mountain Home, AR 72653
Phone (870) 425-9120
907 Burnett Dr
Mountain Home, AR 72653
Phone (870) 424-4935
673 N Main St
Ste D
Salem, AR 72576
Phone (870) 425-9120
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0005626
- isabellaguajardo@osg.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Mountain Home, AR
- NPI 1336155167
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba BRMC Professional Fees
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
dba Baxter Health Home Health
- Home Health Agency
- Cotter, AR
- NPI 1396779278
-
dba Baxter Health
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1811550742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532908",
"telephone_number": "870-425-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532908",
"telephone_number": "912-087-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAJARDO SANT",
"first_name": "ISABELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A180845",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-18123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.